Short-term clinical outcomes and mortality of coronary endarterectomy in the right coronary artery: A single-center experience

نویسندگان

  • Aliasghar Moeinipour Faculty of Medicine, Mashhad University of Medical Sciences, Atherosclerosis Prevention Research Center, Mashhad, Iran
  • Hamid Hoseinikhah Faculty of Medicine, Mashhad University of Medical Sciences, Atherosclerosis Prevention Research Center, Mashhad, Iran
  • Mohammad Abbassi Teshnisi Faculty of Medicine, Mashhad University of Medical Sciences, Atherosclerosis Prevention Research Center, Mashhad, Iran
چکیده مقاله:

Introduction: Coronary endarterectomy is not a perfect procedure. However, it is sometimes the only available alternative for cardiac surgeons in patients suffering from diffuse coronary artery disease. According to a large volume of studies, coronary endarterectomy results (such as survival, recurrence of the symptoms of myocardial ischemia, and graft patency) are not as satisfactory as standard coronary artery bypass grafting (CABG). While the left anterior descending artery (LAD) is the artery most commonly involved in coronary endarterectomy, RCA can be treated with coronary endarterectomy. This study aimed to evaluate clinical evidence and early results of right coronary artery endarterectomy. Methods: A total of 20 cases of coronary endarterectomy of the RCA was studied from January 2015 to January 2016 in this retrospective study. Endarterectomy procedure was performed in Imam Reza Hospital affiliated to Mashhad University of Medical Sciences. Results: The mean age of the subjects was 60±5.2 years (range: 48-75 years).  From among them, 14 were male (70%), and the mean ejection fraction index was 36±5.7 (range: 15-60). Further, in 8 cases, a prior history of myocardial infarction was documented (40%). The mortality rate among patients was 10% (n=2). In total, 7 (35%) and 12 (60%) patients required intra-aortic balloon pump support and high-dose inotropic support, respectively. Perioperative myocardial infarction was observed in 5 (25%) cases, and 3 (15%) patients required re-exploration due to significant hemorrhage. Severe RV failure at the end of procedure was noticed in 4 patients (20%) with resultant mortality in half of them. Some type of heart block w occurred in 1 patient (5%). Conclusions: In case coronary endarterectomy of the RCA is performed by an experienced cardiac surgeon, favorable outcomes can be expected.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

short-term clinical outcomes and mortality of coronary endarterectomy in the right coronary artery: a single-center experience

introduction: coronary endarterectomy is not a perfect procedure. however, it is sometimes the only available alternative for cardiac surgeons in patients suffering from diffuse coronary artery disease. according to a large volume of studies, coronary endarterectomy results (such as survival, recurrence of the symptoms of myocardial ischemia, and graft patency) are not as satisfactory as standa...

متن کامل

Early Clinical Outcomes and Mortality of Coronary Endarterectomy in the Left Anterior Descending Artery: A Single-Center Experience

Introduction: Although coronary endarterectomy is not an ideal procedure, it is the only available option for cardiac surgeons in some patients with diffuse coronary artery disease. Based on the majority of conducted studies, the results of coronary endarterectomy (including survival, graft patency, and recurrence of the symptoms of myocardial ischemia) are less prevalent than standard coronary...

متن کامل

early clinical outcomes and mortality of coronary endarterectomy in the left anterior descending artery: a single-center experience

introduction: although coronary endarterectomy is not an ideal procedure, it is the only available option for cardiac surgeons in some patients with diffuse coronary artery disease. based on the majority of conducted studies, the results of coronary endarterectomy (including survival, graft patency, and recurrence of the symptoms of myocardial ischemia) are less prevalent than standard coronary...

متن کامل

Clinical outcomes of pulmonary valve replacement surgery in pediatrics: a single-center experience long-term study

Introduction: Heart valve disease in pediatricsis an increasing global concern, especially in developing countries. This study aims to determine the clinical outcomes of pulmonary valve replacement (PVR) surgery in pediatrics. Methods: The authors retrospectively identified all pediatrics undergoing PVR surgery at Imam Reza hospital (Mashhad, Iran) between 2000 and 2020. Their medical records...

متن کامل

Short Term Outcome of Antenatal Hydronephrosis: A Single Center Experience

Background Fetal hydronephrosis is a common urinary tract anomaly that may result in renal parenchyma damage. Ultrasound is considered a simple, noninvasive procedure to diagnose and track antenatal hydronephrosis. Our aim was to study the clinical course of fetal hydronephrosis in fetuses. Materials and Methods</...

متن کامل

Short- and Long-Term Patient Outcomes From Combined Coronary Endarterectomy and Coronary Artery Bypass Grafting

This meta-analysis aimed to compare the short- and long-term outcomes in patients undergoing combined coronary endarterectomy and coronary artery bypass grafting (CE + CABG) versus isolated CABG, and particularly to examine subgroup patients with high-risk profile and patients with diffuse disease in the left anterior descending artery (LAD).Studies published between January 1, 1970 and May 31,...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 3  شماره 1

صفحات  10- 13

تاریخ انتشار 2015-04

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

کلمات کلیدی

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023